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Updated: Jul 2, 2026

Measuring Psoriasis Severity at Home
Published on: March 1, 2024
Inflammation and hypercoagulable state in adult psoriatic men
Ozlem Karabudak1, Rifat Eralp Ulusoy, Alev Akyol Erikci
1Department of Dermatology, GATA Teaching Hospital, GATA Teaching Hospital, Istanbul, Turkey. okarabudak@yahoo.com
Insights
Psoriasis patients show elevated inflammation markers and altered homocysteine levels, suggesting a link between these factors and increased cardiovascular risk in the skin condition.
Area of Science:
- Dermatology
- Cardiology
- Hematology
Background:
- Hyperhomocysteinaemia is a known risk factor for cardiovascular disease and atherothrombosis.
- Psoriasis, an inflammatory skin disease, is associated with increased thrombotic events.
Purpose of the Study:
- To investigate serum homocysteine levels in psoriasis patients.
- To explore the relationship between homocysteine, inflammatory markers, and atherothrombotic factors in psoriasis.
Main Methods:
- Study included 20 patients with mild/moderate psoriasis and 20 healthy controls.
- Exclusion criteria: acquired hyperhomocysteinaemia.
- Measured serum homocysteine, inflammation markers (CRP, ceruloplasmin), mean platelet volume, antithrombin III, folic acid, and coagulation factors.
Main Results:
- Psoriasis group had significantly higher inflammation markers (mean platelet volume, CRP, ceruloplasmin) than controls.
- Psoriasis group showed decreased antithrombin III and total homocysteine levels.
- Folic acid levels correlated inversely with homocysteine and positively with fibrinogen.
Conclusions:
- Elevated homocysteine and inflammation markers may contribute to the atherothrombotic state in psoriasis.
- Findings suggest a potential link between psoriasis, homocysteine metabolism, and cardiovascular risk.
Abstract:
Hyperhomocysteinaemia is a well-known risk factor for cardiovascular disease and plays a role in atherothrombosis. Psoriasis is a common chronic and recurrent inflammatory skin disease associated with increased thrombosis. The aim of this study was to examine serum homocysteine levels and their relationships with inflammatory and atherothrombotic markers in psoriasis. Twenty patients with mild or moderate psoriasis and 20 age-matched healthy men were included in this study. Patients with acquired hyperhomocysteinaemia were excluded from both groups. The inflammation markers, mean platelet volume, C-reactive protein and ceruloplasmin levels, were significantly increased in the study group compared with the control group. In the study group there was decreased antithrombin III and total homocysteine levels, for haemostatic parameters. Folic acid levels, cardiovascular risk factors, endothelial inflammation markers and blood coagulation factors demonstrated significant correlations. Folic acid levels correlated inversely with homocysteine and positively with fibrinogen levels. In conclusion, increased homocysteine concentration and inflammation markers may play a role in the atherothrombotic state in psoriasis.
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